Emergency OR usageFEBRUARY 2012PERI-OPERATIVE COMMITTEE

Emergency OR Usage

“Without data you’re just another person with an opinion”

W. Edwards Deming

Emergency OR Usage

Terms Utilization: (u’til*i*za’tion)

The act of making some area more profitable or productive or useful.

Usage:(us*age) The act, manner, or amount of using.

Emergency OR Usage

What to know: Data collected by IHA Aggregated in ExcelR database Some important information difficult to extract Been done before (February 2007)

Emergency OR Usage

ER OR time used = 23,270 min 388 hours

Total time available (assuming one OR) 696 hours

Usage (total) of about 56% Usage after midnight = 6% Usage daylight = 69.8%

Emergency OR usageCases by emergency classification

237 cases Class 1 33 Class 2 66 Class 3 129

Emergency OR usage

Service by # of cases / by time (hrs.): ENT 1 <1 Dental 3 1.5 Plastics 9 14 Urology 11 10 Vascular 14 21 Neurosurgery 23 74 Gynecology 40 27 General Surg. 50 74 Ortho. 86 158 = (41%)

(6.5%)

Emergency OR usage

Time(hours)

Emergency OR usage

Case range (in time)

Shortest case 18 minLongest case 852 min

Lets see?…………that’s 14 hours!

Emergency OR usage(Minutes per case / service)

Time(min)

Emergency OR usage(night owls) Cases after midnight = 16

(6%)

Gynecology

(1.16%)

(18%)

Emergency OR usage(night owls) Time after midnight (minutes) =

1244 6 % of total ER OR time

Time(hours)

Gyne

This is the period of lowest usage(6%)

(45%)

(0.06%)

Emergency OR Usage Things to consider:

On line ER OR booking system Group reference to internet based data Real time access Less activity at OR desk Better statistical control Accountability, transparency, stewardship, outlier & cluster

detection, research database, rapid trend analysis

Emergency OR Usage

Things to consider: Rules?

Re-classification (class 1 to class 3) Self bumping Advocacy Week end vs Mid-week case clusters Cases per unit of call